Organization
VANGUARD GERIATRICS INC
Active
Parent organization
VANGUARD GERIATRICS INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
VANGUARD GERIATRICS INC
Authorized official
EDITH SPOSSEY SAX RN MSN GNP-BC (CEO)
(713) 521-0006
Entity
Organization
Contact information
Practice address
4660 BEECHNUT ST STE 218, HOUSTON, TX 77096-1825
(713) 521-0006
Mailing address
4660 BEECHNUT ST STE 218-SATX, HOUSTON, TX 77096-1825
(713) 521-0006
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
607064
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
180881803
—
TX
Enumeration date
11/30/2011
Last updated
11/30/2011
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